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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here. |
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Hi. I'm a newbie contemplating ADR.
My primary, Empire Health Choice has ok'd a two-level replacement although the fine print says they can review this; thus, I'd have to put money up front for my surgeon due to uncertainty. My secondary, BC of CA (group ppo thru a university) won't tell me if Utilization Review pays for ADR. I know BC is w/Aetna (or was) is holding out, but my surgeon's office says "maybe". My sense is not to depend at all on my secondary - esp. since it's not a private plan, 'tho a group PPO. Does anyone think that I'm on-target in not counting on my secondary? Thanking in advance and very happy to have discovered this place. Sincerely, ans
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Severe, extensive DDD, considered inoperable by Dr. Regan, Lauressen, & some guy at UCLA. Severe foraminal stenosis (guess they can't operate!) and some spinal cord compression that Lauryssen would fix if gets outta hand. |
#2
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I think you are on track about not counting on a secondary insurance. In fact, I wouldn't even count on your primary insurance according to the small print on the bottom.
What exactly does "they can review this" mean? I would tell them if they want to "review" it, then "review" it before your day of surgery. Who and where did you find your surgeon to do a two level?
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*10 plus years of back pain *'99 first MRI shows L4-5 bulge *'04 MRI shows L4-5 grade 3 annular tear & rupture with moderate DDD *'05 Discogram shows concordant pain at L4-5 *8/18/05 scheduled ADR surgery participant in Kineflex/Charite study |
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